{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "HOPE HAVEN, LTD",
"LastName": null,
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"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "144 WATERVIEW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOT SPRINGS",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "71913-2303",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "501-545-9009",
"MailingAddressFaxNumber": "501-643-9992",
"FirstLinePracticeLocationAddress": "500 W 23RD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOPE",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "71801-8129",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-777-8655",
"PracticeLocationAddressFaxNumber": "870-777-5339",
"EnumerationDate": "11/24/2015",
"LastUpdateDate": "11/24/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARINICK",
"AuthorizedOfficialFirstName": "STEPHEN",
"AuthorizedOfficialMiddleName": "ANTHONY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "501-545-9009",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "407",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}